Understanding Silicone Breast Augmentation
Silicone breast augmentation has become a popular choice for many women seeking to enhance their breast size and shape. In the United States, it has been one of the top - five cosmetic procedures for nearly the past 20 years. In 2020 alone, approximately 84% of all breast augmentations in the country were performed with silicone implants (American Society of Plastic Surgeons, 2021). The first silicone implants were developed in the early 1960s by Dow Chemical. Since then, they have undergone significant improvements, including enhancements in the thickness of the shell and the viscosity of the silicone gel inside. These implants are now approved by the FDA and are considered safer than ever.
Cohesive silicone gel implants, also known as gummy bear implants, were developed in the 1990s. They feature better projection, a wider range of dimensions, and a silicone gel thick enough to keep its form, minimizing the risk of leakage. These implants are increasingly popular as they can provide a natural and proportionate breast shape and feel.
Top 3 Hospitals for Silicone Breast Augmentation in New York City
1. Mount Sinai - New York
Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation. Their use of advanced 3D imaging technology is a significant advantage. Before scheduling the surgery, this technology can help patients visualize how their larger breasts will look on their unique body. By showing various options on a computer monitor, patients can virtually try on different sizes of breasts, allowing them to make a more informed decision about the size and shape that will look best for their body.
The hospital offers several options for breast augmentation. They provide two types of implants: silicone and saline. Silicone breast implants look and feel natural in the breasts, while saline implants are firmer and rounder. Additionally, Mount Sinai surgeons have pioneered and perfected a fat - transfer technique called Natural Fill®. This two - step procedure involves removing fat from the buttocks or abdomen via liposuction and then immediately inserting it into the breasts. This approach allows patients to use their own fat deposits to enhance their breasts, which is a more natural option.
2. Cangello Plastic Surgery
Dr. David L. Cangello, a board - certified plastic surgeon at Cangello Plastic Surgery, is highly experienced in cosmetic breast surgery. He is known for delivering elegant, natural - looking results. His superior results have earned the trust of professional models from some of the world's top agencies, such as Wilhelmina Models, IMG Models, and Next Management.
Dr. Cangello offers a full range of cosmetic breast surgery, including breast lift, breast revision, and natural augmentation with fat transfer. He incorporates patients' tastes and preferences into treatment plans, taking an artistic approach that combines medical precision with aesthetic principles. When it comes to breast implants, he guides patients through the process of deciding on the size, shape, placement, and type (silicone or saline) of the implants. He is one of only two surgeons in the world trained in fat - grafting techniques by a pioneer in the field, Dr. Sydney Coleman.
For implant placement, he can place implants under the pectoral muscle (submuscular placement) or the breast tissue (submammary/subglandular placement). There are three possible incision locations: periareolar, inframammary, and transaxillary (although he avoids the transaxillary technique due to a higher rate of implant malposition). He also uses the “no - touch” method with a Keller funnel for silicone implant insertion, which allows for a smaller incision size and may help minimize infection risk.
3. Lara Devgan, MD, MPH, FACS
Dr. Lara Devgan is a well - regarded plastic surgeon in New York City. Her practice focuses on providing beautiful, natural results for breast augmentation patients. Many women in New York City prefer her because she offers natural - looking, beautifully contoured, and comfortable breast implants, along with a fast recovery and a subtle result. She is also a female plastic surgeon, which is appealing to patients who prefer discretion regarding this sensitive topic.
During the consultation, Dr. Devgan examines, measures, and photographs the patient's breasts. She discusses the patient's medical history and desires for surgery. She shows samples of silicone and saline breast implants, allowing patients to feel the difference and choose the type they prefer. Patients also have the opportunity to “try on” different sizes of implants to determine the right fit. Additionally, she presents many before - and - after photographs so that patients can get an idea of what a typical result looks like for someone with their body type.
The surgery typically takes one hour and can be performed either in her fully accredited private office operating room or at one of the top local hospitals on the upper east side. After surgery, patients usually experience a small amount of swelling, bruising, and discomfort in the first 24 - 48 hours. Most patients can return to work in 3 - 4 days if they have a desk job. By one month after surgery, the vast majority of patients feel “back to normal,” and by 6 - 8 weeks, they are cleared to do all types of physical activity (with some exceptions for elite athletes).
Factors to Consider When Choosing a Hospital for Silicone Breast Augmentation
Surgeon Expertise
The expertise of the surgeon is crucial. Surgeons at top hospitals like Mount Sinai, Cangello Plastic Surgery, and Dr. Lara Devgan's practice are board - certified and have extensive experience in breast augmentation. A skilled surgeon can understand patients' expectations and translate them into surgical outcomes. They should be knowledgeable about the latest techniques and implant options. For example, Dr. Cangello's training in fat - grafting techniques by a pioneer in the field gives him an edge in offering alternative augmentation methods.
Patient Reviews
Patient reviews offer valuable insights into the patient's experience, the quality of care received, and the satisfaction level with the results. Positive reviews can indicate that the hospital and surgeon are reliable. For instance, patients at Cangello Plastic Surgery have reported being very satisfied with the size and results of their breast augmentation, as well as the personalized care they received from Dr. Cangello.
Technological Advancements
Advanced technologies can enhance the breast augmentation experience. Mount Sinai's use of 3D imaging technology allows patients to visualize their results before surgery, which can increase patient satisfaction and reduce the need for revision surgery. This technology gives patients a better understanding of what to expect and helps them make more informed decisions.
Aftercare and Recovery Services
Aftercare is as important as the surgery itself. Top hospitals provide comprehensive aftercare services, including regular post - operative check - ups, guidance on self - care practices, and prompt responses to any concerns or complications. They also offer personalized aftercare plans based on each patient's specific needs. For example, Dr. Devgan's practice provides a detailed recovery timeline and support to help patients through the healing process.
Cost and Financing Options
The cost of silicone breast augmentation can vary depending on the hospital, surgeon expertise, specific procedure, and implant type. Different hospitals may offer various financing options to help patients afford the procedure. Some may offer in - house financing plans, third - party medical loans, or discounts for multiple procedures. It's important for patients to research and understand the pricing structure and available financing options before making a decision.
Complications and Risks Associated with Silicone Breast Augmentation
Although silicone breast augmentation is generally safe, there are some potential complications and risks. Over the past few years, researchers have found that women with breast implants may have a small but increased risk of developing breast implant - associated anaplastic large cell lymphoma (BIA - ALCL). While the actual number of cases worldwide is not confirmed, it appears to be approaching 400 cases. This is not breast cancer but a form of non - Hodgkin's lymphoma that can be effectively treated. It seems to be associated with textured implants and patients who develop a seroma (accumulation of fluid around the breast). As of now, there have only been two cases associated with smooth implants, and those patients had previously placed textured implants.
Another issue is breast implant illness (BII), which is a term used to refer to a broad variety of symptoms that women report after having implants placed. These symptoms include memory loss, “brain fog,” joint pain, and fatigue. However, the cause of these symptoms and their link to synthetic implants is poorly understood and still being investigated.
Preparing for Silicone Breast Augmentation
Before undergoing silicone breast augmentation, patients need to make several preparations. First, they should have a thorough consultation with their surgeon. During this consultation, patients should discuss their medical history, expectations, and any concerns they may have. The surgeon will also examine the patient's breasts, take measurements, and provide information about the procedure, implant options, and aftercare.
Patients are usually advised to quit smoking or using any nicotine products before the surgery, as nicotine can significantly impact the ability to heal. They should also taper off current medications or supplements that may increase bleeding, such as blood thinners, ibuprofen, vitamin E, and St. John's wort. It's important to arrange for a trusted family member or friend to pick them up from the hospital after the procedure and to designate a comfortable space at home for recovery. Patients should also plan to take 2 - 3 weeks off to rest and recuperate.
Procedure and Recovery Process
Procedure
The silicone breast augmentation procedure typically begins with the administration of anesthesia, either general anesthesia or intravenous sedation anesthesia, depending on the patient's preferences. Once the anesthesia has taken effect, the surgeon will make a small incision. Incision options include the inframammary incision (under the breast), periareolar incision (around the areola), or transaxillary incision (under the armpit). The choice of incision depends on various factors, such as the type of implant, the patient's anatomy, and the desired outcome.
Next, the silicone implant is placed either under the pectoral muscle (submuscular plane) or above the pectoral muscles (subglandular). The placement is determined by the patient's anatomy, age, and vocation. After the implant is in place, the surgeon will close the incisions with sutures and wrap the area with a compression garment to protect the results.
Recovery
In the initial days after surgery, it's normal to experience moderate symptoms of fatigue, discomfort, swelling, and bruising. Patients will be given a prescription for pain medication to help ease discomfort, which is usually most pronounced during the first few days. They will also be provided with a surgical compression bra to wear for the next few weeks as they heal.
Most patients can resume light activities and work in 2 - 3 weeks. At 6 - 8 weeks, they can start more strenuous activities, including going to the gym. By this time, the swelling will have subsided significantly. It may take a few months for the implants to settle into place, and patients can then celebrate their final results.
Conclusion
When considering silicone breast augmentation in New York City, the top 3 hospitals - Mount Sinai, Cangello Plastic Surgery, and Dr. Lara Devgan's practice - offer high - quality services, experienced surgeons, and advanced technologies. Each hospital has its own unique features, such as Mount Sinai's 3D imaging technology, Dr. Cangello's artistic approach and fat - grafting expertise, and Dr. Devgan's focus on natural results and fast recovery.
However, it's important for patients to carefully consider factors like surgeon expertise, patient reviews, technological advancements, aftercare services, and cost before making a decision. They should also be aware of the potential complications and risks associated with the procedure and make proper preparations for surgery and recovery.
If you're interested in silicone breast augmentation, we encourage you to reach out to these hospitals for a consultation. You can also research more about the procedure, read patient testimonials, and gather as much information as possible to make an informed choice for your body and well - being. Share this article with others who may be considering breast augmentation, and let them benefit from the valuable insights provided.
